Which States Will Be Affected by Key Medicaid Provisions in the 2025 Reconciliation Law? Authors: Alice Burns, Jennifer Tolbert, Robin Rudowitz, and Anthony Montano Published: Oct 7, 2026

https://www.kff.org/medicaid/which-states-will-be-affected-by-key-medicaid-provisions-in-the-2025-reconciliation-law/ The 2025 reconciliation law makes sweeping changes to Medicaid that will affect every state through key eligibility and financing changes, including new work requirements, immigrant eligibility restrictions, and changes to provider taxes and state directed payments. This issue brief explains which states will be affected by each of these key provisions.